MAURICE HAROLD WALL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009164

License Status

INACTIVE

Business

First Name

MAURICE HAROLD

Last Name

WALL

Suffix

DDS

Business Name

MAURICE HAROLD WALL DDS

Original Issue Date

11/12/1946

Effective Date

11/12/1946

Expiration Date

09/30/1990

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

10/12/2005